| NPI | 1194480509 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MONIQUE ANDREWS Owner/Mental Health Clinician 907-978-8588  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-11-02 | 
| Last Update Date | 2024-09-20 |